Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $53.70 / $109.65	Facility		$20.89	$53.70	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $75.86	Professional		$10.00	$12.02	$75.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $37.15 / $79.43	Facility		$7.41	$37.15	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $11.48 / $28.18	Professional		$6.46	$11.48	$28.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $60.26 / $125.89	Facility		$25.70	$60.26	$125.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.72 / $32.36	Professional		$7.41	$10.72	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $26.92 / $53.70	Facility		$10.47	$26.92	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.02 / $23.99	Professional		$7.94	$12.02	$23.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.85 / $25.70	Professional		$10.00	$15.85	$25.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $35.48	Professional		$12.88	$15.85	$35.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $15.85 / $15.85	Professional		$7.94	$15.85	$15.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $16.22 / $40.74	Facility		$11.22	$16.22	$40.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.02 / $32.36	Professional		$8.51	$12.02	$32.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.18 / $16.98	Professional		$10.00	$13.18	$16.98
United Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $8.71 / $15.85	Facility		$7.24	$8.71	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.55 / $28.84	Professional		$6.76	$9.55	$28.84